Youngs Payless Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY41944 Issued in CA

Legal business name

YOUNGS PAYLESS PHARMACY

Doing business as

Youngs Payless Pharmacy

Practice address

18980 N Highway 88
Lockeford, CA 95237-9787

Phone

(209) 727-3762

Fax

(209) 727-3903

NPI assigned

Mar 2, 2007

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Hunnell, BS PHARMACY

Title

Pharmacst-in-Charge

Phone

(209) 727-3762

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• YOUNGS PAYLESS PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1437287190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "LOCKEFORD",
            "state": "CA",
            "postal_code": "952370122",
            "telephone_number": "209-727-3762",
            "fax_number": "209-727-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18980 N HIGHWAY 88",
            "city": "LOCKEFORD",
            "state": "CA",
            "postal_code": "952379787",
            "telephone_number": "209-727-3762",
            "fax_number": "209-727-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGS PAYLESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "HUNNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACST-IN-CHARGE",
        "authorized_official_telephone_number": "209-727-3762",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY41944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA419440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2000134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUNGS PAYLESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Greenberg
• Mark Anthony Lino
• Alicia Jean Lozano
• Nor Cal Pharmacies Inc (Lockeford Drug)
• Douglas Alan Pfeifle, D.C.

• Community/Retail Pharmacy in Lockeford, CA
• Providers in Lockeford, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.